James Baxter
Individual provider Active NPI Chiropractor · Lake Saint Louis, MO
NPI 1568077907 · NPPES record last updated Sep 12, 2020
Key facts
- NPI
- 1568077907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2020029182 (MO)
- Practice address
- 11104 Veterans Memorial Pkwy
Lake Saint Louis, MO 63367-1113 - Phone
- (636) 625-6000
- NPI assigned
- Sep 12, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201007003399 | MO | Practitioner - Chiropractic | 7911326186 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Saint Louis Chiropractic and Rehab LLC | Chiropractor | Current |
Accepting new patients |
Locations
11118 Veterans Memorial Pkwy
Lake St Louis, MO 63367
Phone (636) 265-1116
910 Bent Oak Ct
Lake St Louis, MO 63367
Phone (636) 206-4909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2020029182 | MO | Yes |
Addresses
Primary practice location
11104 Veterans Memorial Pkwy
Lake Saint Louis, MO 63367-1113
Mailing address
264 Barkwood Trails Dr
Saint Peters, MO 63376-6673
Phone (816) 805-7803
Other providers in Lake Saint Louis, MO
- Allied Healthcenters LLC
- Angel'S Care in Home Services
- Christine Antone
- Arch Kidney and Hypertension LLC
- Eve Weindell Barnoski
- Ross Matthew Belew
- Donald Beussink
- Kieara Bond
- Borello Orthodontics
- Blake Borello
All providers in Lake Saint Louis, MO · Chiropractor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.